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麻醉和手术期间肝血流的紊乱。

Disturbances in hepatic blood flow during anesthesia and surgery.

作者信息

Gelman S I

出版信息

Arch Surg. 1976 Aug;111(8):881-3. doi: 10.1001/archsurg.1976.01360260049012.

DOI:10.1001/archsurg.1976.01360260049012
PMID:942299
Abstract

A study of 88 patients showed a reduction in the estimated hepatic blood flow (EHBF), as measured by a colloidal gold technique, to 88% and 84% of its initial value during ether and halothane anesthesia, respectively. During the operative procedure itself, there was a further fall in the EHBF. In patients undergoing herniorrhaphy or excision of a breast tumor, the EHBF decreased to 82% and 76%, while in patients undergoing partial gastrectomy or cholecystectomy, the EHBF fell to 48% and 42% of its initial value during operations under ether and halothane anesthesia, respectively. The surgical trauma itself would appear to be the main determinant of the alteration in the liver circulation during the operation.

摘要

一项针对88名患者的研究表明,采用胶体金技术测量,在乙醚和氟烷麻醉期间,估计肝血流量(EHBF)分别降至初始值的88%和84%。在手术过程中,EHBF进一步下降。在接受疝气修补术或乳腺肿瘤切除术的患者中,EHBF分别降至初始值的82%和76%,而在接受部分胃切除术或胆囊切除术的患者中,在乙醚和氟烷麻醉下手术期间,EHBF分别降至初始值的48%和42%。手术创伤本身似乎是手术期间肝脏循环改变的主要决定因素。

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Disturbances in hepatic blood flow during anesthesia and surgery.麻醉和手术期间肝血流的紊乱。
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